Case Manager RN, Compact License

CVS Health

Case Manager RN at CVS Health utilizing best-in-class clinical models to provide community care. Engaging with members for comprehensive health management and promoting wellness activities.

Posted 4/30/2026full-timeRemote • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $54,095 - $142,576 per yearWebsite

About the role

Key responsibilities & impact

Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models.
Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.
Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.
Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care.
Interacts with members/clients telephonically or in person, may meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services.
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.

Requirements

What you’ll need

Minimum 3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.
Minimum 2+ years CM, discharge planning and/or home health care coordination experience
Active and unrestricted Compact License
Bilingual preferred - Spanish
Certified Case Manager is preferred.
Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required
Associates Degree or Nursing Diploma Required
Bachelors Degree Preferred

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementdischarge planninghome health care coordinationclinical experiencemedical assessmentvocational assessmentcondition managementbenefits eligibility determinationwellness promotionhealth strategies development

Soft Skills

communicationinterpersonal skillsliaison abilitiesorganizational skillsanalytical skillsproblem-solvingteam collaborationclient advocacyempathetic engagementadaptability

Certifications

Certified Case ManagerCompact LicenseCRCCDMSCRRNCOHNCCM